ICD-10 Y35.409
Non-Billable HeaderLegal intervention involving unspecified sharp objects, unspecified person injured
About ICD-10-CM Y35.409
ICD-10-CM code Y35.409 represents Legal intervention involving unspecified sharp objects, unspecified person injured. This is a non-billable header code in the External Causes of Morbidity chapter (block Y35). The 2026 edition of ICD-10-CM Y35.409 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for Y35.409
Local Coverage Determinations (LCDs) from CMS MACs that list Y35.409 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Y35.409.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Y35.409 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Y35.409
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Y35.409
Other codes in section Y35-Y38 (Legal intervention, operations of war, military operations, and terrorism).
ICD-10 Y35.409, Billing FAQ
Is ICD-10 code Y35.409 billable? +
No, Y35.409 is a non-billable header code. Use a more specific child code from block Y35 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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